Organization
PUT6395 PLLC
Active
Other names
Prompt Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUNYAWAT LAOHAKANJANASIRI DMD (PRACTICE OWNER)
(571) 446-3554
Entity
Organization
Contact information
Practice address
12005 SUNRISE VALLEY DR STE 130, RESTON, VA 20191-3468
(571) 249-2839
Mailing address
12005 SUNRISE VALLEY DR STE 130, RESTON, VA 20191-3534
(571) 446-3554
(571) 464-0198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
04/29/2024
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